Cost-effectivity analysis of one-step versus two-step screening for gestational diabetes Gestasyonel diyabet için tek ve İki aşamalı taramanın maliyet etkinlik analizi
Eurasian Journal of Medicine, cilt.44, sa.2, ss.84-87, 2012 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 44 Sayı: 2
- Basım Tarihi: 2012
- Doi Numarası: 10.5152/eajm.2012.20
- Dergi Adı: Eurasian Journal of Medicine
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.84-87
- Anahtar Kelimeler: Cost-effectiveness, Gestational diabetes, Screening
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Early diagnosis of gestational diabetes mellitus (GDM) is important for both maternal and fetal health. The literature has varying recommendations about one-step and two-step tests for GDM screening and diagnosis. The present study aimed to investigate the difference in the cost and duration of hospital stay of a one-step procedure compared to a two-step procedure, which is routinely performed in our hospital. Materials and Methods: The two-step procedure was performed in 2,724 pregnant women, and the one-step procedure was performed in 185 pregnant women. The one-step and two-step screening procedures for gestational diabetes were compared with respect to the duration of hospital stay and cost. Results: The test cost per woman was 0.75 TL less in the one-step procedure; however, the duration of the one-step test was 18.6 min longer, and the number of blood sampling procedures was 1.08 times higher. Conclusion: The one-step method may be preferred over the two-step (or glucose challenge) test due to its diagnostic value and lower cost.